Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.64 / $70.52 / $143.38	Facility	26	$37.64	$70.52	$143.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.63 / $251.87 / $821.15	Professional		$240.63	$251.87	$821.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.13 / $33.17 / $109.03	Professional	26	$29.13	$33.17	$109.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $211.50 / $218.71 / $711.26	Professional	TC	$211.50	$218.71	$711.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.76 / $45.76 / $117.53	Professional	26	$45.76	$45.76	$117.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.24 / $421.71 / $611.47	Professional		$287.24	$421.71	$611.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.58 / $52.24 / $75.73	Professional	26	$35.58	$52.24	$75.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.66 / $369.47 / $535.73	Professional	TC	$251.66	$369.47	$535.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.46 / $693.33 / $928.06	Professional		$384.46	$693.33	$928.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.47 / $83.65 / $108.92	Professional	26	$46.47	$83.65	$108.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $337.99 / $611.95 / $819.14	Professional	TC	$337.99	$611.95	$819.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $334.45 / $584.40 / $1,169.94	Professional		$334.45	$584.40	$1,169.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.34 / $72.23 / $134.16	Professional	26	$41.34	$72.23	$134.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $292.44 / $510.90 / $949.00	Professional	TC	$292.44	$510.90	$949.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.99 / $427.97 / $619.54	Professional		$248.99	$427.97	$619.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $48.13 / $73.30	Professional	26	$35.54	$48.13	$73.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.44 / $379.84 / $546.25	Professional	TC	$213.44	$379.84	$546.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $262.95 / $319.58 / $482.67	Professional		$262.95	$319.58	$482.67
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $29.60 / $35.47 / $46.59	Professional	26	$29.60	$35.47	$46.59
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $227.69 / $284.61 / $422.97	Professional	TC	$227.69	$284.61	$422.97